Hayesville House

    480 Old Hwy 64 W, Hayesville, NC 28904
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Kind attentive staff mother thriving

    I'm very grateful we placed my mom here - the staff are kind, thoughtful, and truly treat residents like family. Her room is clean and comfortable, the community feels safe and well-maintained, and she's happy and engaged with activities. Caregivers are attentive and go above and beyond; overall I'm very pleased with the loving, high-quality care, with only minor room for improvement.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.27·(15)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.6
    • Staff

      4.3
    • Meals

      3.5
    • Amenities

      5.0
    • Value

      4.3

    Pros

    • Compassionate, family-style caregiver relationships
    • Attentive and responsive caregiving
    • Clean, well-maintained facility and rooms
    • Engaging activity program
    • Comfortable, homelike environment
    • Welcoming and cordial visitor interactions
    • Staff frequently go above and beyond
    • High resident and family satisfaction
    • Strong weekend meal service

    Cons

    • Limited on-site clinical staffing and medical oversight
    • Gaps in emergency-response procedures and communication
    • Inconsistent dining quality and meal-service continuity
    • Variable staff conduct and communication tone
    • Sanitation-response priorities that may reduce immediate resident attention

    Summary of reviews

    Overall impression: Reviews indicate a facility with a strong, compassionate caregiving culture and a generally comfortable, well‑maintained living environment. Many family members describe caregivers as kind, attentive, and willing to go above and beyond; several comments characterize staff–resident relationships as family‑like and note high resident satisfaction. Common positive points include clean rooms, an inviting communal atmosphere, active programming, and staff who are welcoming to visitors.

    Care quality and clinical oversight: Families praise the attentiveness of direct-care staff, but several accounts raise concerns about clinical coverage and the timeliness of medical attention. Reviewers noted the absence of on‑site licensed clinical staff at times and described situations that suggest gaps in medical oversight and emergency-response protocols. Prospective residents and families should clarify current on‑site clinical staffing levels, on-call physician and RN coverage, and the facility’s procedures for escalating urgent medical issues.

    Staff conduct and management: Most feedback about staff conduct is positive, emphasizing respectful, loving care and staff who treat residents like family. However, there are isolated reports describing poor communication tone and moments when staff behavior was perceived as disrespectful. These contrasting impressions point to inconsistent staff performance rather than a uniform pattern; this suggests a potential need for ongoing staff training, supervision, and quality assurance to maintain consistent standards.

    Dining and meals: Dining feedback is mixed. Weekend meals are frequently praised for quality, while weekday meals are described as inconsistent and, in some cases, unappealing. This variability suggests issues with meal-service continuity or kitchen staffing that affect day‑to‑day dining experience. Families should ask about sample menus, meal scheduling, and how dietary preferences or complaints are handled.

    Facilities, activities, and sanitation: The building and rooms are consistently described as clean and well maintained, and activity offerings are appreciated by residents. That said, at least one account describes a situation in which sanitation work appeared to take priority over immediate resident attention, indicating potential trade‑offs in operational response during incidents. Clarify how the facility balances infection-control/cleaning tasks with resident-centered responses.

    Notable patterns and guidance for families: The dominant positive pattern is a caring, supportive staff and an overall comfortable environment. The dominant operational concerns center on limited on‑site clinical coverage, potential gaps in emergency procedures, inconsistent meal quality, and occasional variability in staff conduct. When touring, families should verify clinical staffing and emergency protocols, sample meals on different days if possible, observe staff–resident interactions, and ask about the facility’s quality‑assurance practices to address inconsistency. These steps will help determine whether the facility’s strong caregiving culture is backed by reliable clinical and operational systems.

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    Location

    Map showing location of Hayesville House

    Hayesville House is located at 480 Old Hwy 64 W, Hayesville, NC, 28904.

    About Hayesville House

    Hayesville House is a senior living community that prides itself on creating a warm and welcoming atmosphere for its residents. This care home specializes in providing exceptional memory care services within a comfortable, home-like environment. The foundation of its philosophy is a holistic approach to caring for individuals with Alzheimer’s disease or other forms of dementia. Rather than offering a one-size-fits-all program, Hayesville House tailors each aspect of care to reflect every resident’s unique life journey, drawing from their personal skills, experiences, and history. This individualized method ensures that residents feel understood, valued, and supported every step of the way.

    At Hayesville House, the well-being of residents is always the top priority. The professional and compassionate team understands that navigating the challenges of memory care is a journey not only for the person living with dementia but also for their families. Therefore, each member of the supportive staff is committed to helping residents retain their independence and dignity, while providing families with guidance and reassurance.

    Daily life at Hayesville House is enriched by a focus on holistic well-being. Nutrition and diet are thoughtfully prioritized, as the community recognizes the critical role of balanced meals in promoting physical health and vitality among seniors. This commitment to wellness extends beyond nutrition to include non-pharmacological approaches for managing chronic pain. Residents benefit from tailored physical therapy and rehabilitation options designed to enhance independence, mobility, and overall quality of life.

    The community strives to foster a vibrant environment where residents are empowered to embrace each day. Thoughtful holiday celebrations and curated activities provide meaningful opportunities for connection and joy. From discovering new interests to enjoying perfectly selected holiday gifts, individuals at Hayesville House are supported in thriving and living fully. The dedicated team ensures that every resident has the opportunity to participate in life-enriching experiences, making Hayesville House a true home where seniors are valued, respected, and empowered to lead their best lives.

    About ALG Senior

    Hayesville House is managed by ALG Senior.

    ALG Senior, originally founded as Affinity Living Group in 1996 by Charles Trefzger, stands as one of the most significant senior living providers in the United States. Headquartered in Hickory, North Carolina, the company has grown from its humble beginnings to become the tenth largest provider of assisted living nationwide, the seventh largest provider of Alzheimer's and memory care services, and the largest senior housing operator in the southeastern United States. The company operates approximately 58-66 communities throughout the southeastern United States, with a primary geographic concentration in North Carolina, South Carolina, Virginia, Georgia, and Alabama.

    People often ask...

    Hayesville House offers competitive pricing, with rates starting at a cost of $4,082 per month.

    Hayesville House offers assisted living, memory care, and skilled nursing.

    There are 13 photos of Hayesville House on Mirador.

    The full address for this community is 480 Old Hwy 64 W, Hayesville, NC 28904.

    No, Hayesville House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number060220
    Facility typeAdult Care Home
    Capacity60 residents
    View the official license record

    Inspection Reports

    20

    Reports

    0

    Type A Citations

    6

    Type B Citations

    6

    Complaints

    11

    Years

    20 Nov 2025Follow-Up
    Identified missing matching therapeutic diet menus to guide staff for residents with physician-ordered diets, with three residents lacking appropriate menus.
    • 10A NCAC 13F .0904(c)(7)Nutrition And Food Service - Therapeutic diet menus for physician-ordered diets
    • 10A NCAC 13F .0904Nutrition And Food Service
    11 Oct 2023Complaint
    Identified persistent shortages in required staffing hours for the Special Care Unit across multiple shifts and weekends.
    • 10A NCAC 13F .1308(a)Special Care Unit Staff
    11 Oct 2023Complaint
    Investigated a complaint about staffing; found that staffing hours did not meet the requirements based on census, causing ongoing coverage and care shortfalls, especially on weekends.
    • 10A NCAC 13F.1308(a) Special Care Unit StaffSpecial Care Unit Staff
    28 Aug 2019Construction
    Investigation found deficiencies in housekeeping and furnishings, with outside areas and interior spaces not kept clean or in good repair. Multiple maintenance issues were documented and carried forward across the related pages.
    • 10A NCAC 13F.0306Housekeeping and Furnishings
    28 Aug 2019Construction
    Identified multiple deficiencies related to outside grounds maintenance, housekeeping, and safety systems. Notable hazards included uneven exits, unsecured cylinders, malfunctioning ventilation and fire safety components, and improper electrical heating devices.
    • 10A NCAC 13F .0305Outside Premises-Clean, Safe
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311 (b)(2)Unvented & Portable Electric Heaters Prohibited
    • 10A NCAC 13F .0311 (g)Exhaust Ventilation
    13 Jun 2017Construction
    Identified multiple deficiencies in sanitation reporting, odor control, housekeeping, fire drill rehearsals, and equipment safety. Found lapses in annual inspections and emergency preparedness.
    • 10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Must Have Current San. & Fire Safety Reports
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0309 PLAN FOR EVACUATIONFire Safety-Rehearsals on Each Shift
    • 10A NCAC 13F .0311 OTHER REQUIREMENTSBuilding Equipment Maintained Safe, Operating
    13 Jun 2017Construction
    Investigated a complaint and identified deficiencies relating to safety, housekeeping, and facility maintenance.
    10 Nov 2016Follow-Up
    Investigated mold growth on air output vents and housekeeping deficiencies, including inadequate cleaning of bathrooms and resident rooms.
    • 10A NCAC 13F.0306Housekeeping and Furnishings
    10 Nov 2016Follow-Up
    Observed mold growth on the air output vents of through-the-wall heat pumps in multiple resident rooms, indicating housekeeping and maintenance problems.
    • 10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    13 Jul 2016Follow-Up
    Investigated an allegation of abuse and improper conduct toward residents; found violations of residents' rights and inappropriate staff behavior.
    • Type BG.S. 131D-21(4) Declaration of Residents' RightsProtection of residents from abuse; Residents' Rights
    13 Jul 2016Follow-Up
    Found that a sexual abuse allegation against a staff member was not reported to the Health Care Personnel Registry.
    • Type B10A NCAC 13F .1205 Health Care Personnel RegistryHealth Care Personnel Registry
    • G.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    09 Mar 2016Follow-Up
    Identified insufficient minimum staffing in the Special Care Unit on multiple dates/shifts, resulting in inadequate direct care hours; also found residents did not consistently receive care and services in compliance with rights and regulations.
    • Type B10A NCAC 13F .1308(a)Special Care Unit Staff
    • G.S. 131D-21(2)Declaration of Residents' Rights
    09 Mar 2016Follow-Up
    Investigated staffing levels in the Special Care Unit and found minimum staffing was not maintained on multiple days across shifts.
    • Type B10A NCAC 13F.1308(a)Special Care Unit Staff
    15 Oct 2015Inspection
    Found multiple deficiencies including unclean surfaces in several rooms, missing CPR certification coverage on third shift, and insufficient third-shift staffing for the special care unit, raising concerns about care adequacy.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    • 10A NCAC 13F .1308(a)Special Care Unit Staff
    • G.S. 131D-21(2)Declaration of Residents' Rights
    15 Oct 2015Inspection
    Observed deficiencies in housekeeping, CPR training and coverage, and third-shift staffing that affected resident care and safety.
    • 10A NCAC 13F .0306(a)(1); 10A NCAC 13F .0306Housekeeping And Furnishings
    • Type B10A NCAC 13F .0507Training On Cardio-Pulmonary Resuscitation
    • 10A NCAC 13F .1308(a)Special Care Unit Staff
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    15 Oct 2015Inspection
    Identified deficiencies in housekeeping, staffing, and CPR training that affected resident safety and rights.
    • 10A NCAC 13F.0306(a)(1)Housekeeping And Furnishings
    • 10A NCAC 13F.0507Training On Cardio-Pulmonary Resuscitation
    • 10A NCAC 13F.0507Cardio-Pulmonary Resuscitation
    • 10A NCAC 13F.1308(a)Special Care Unit Staff
    25 Aug 2015Follow-Up
    Identified a lack of vacuum breakers on long hoses in the beauty salon, creating a potential backflow risk; not all deficiencies were corrected and further action was required.
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    25 Aug 2015Follow-Up
    Investigated a follow-up survey and found deficiencies remained, including lack of vacuum breakers on hoses in the beauty salon and related housekeeping hazards.
    • 10A NCAC 13F.0306Housekeeping and Furnishings
    13 May 2015Construction
    Identified deficiencies in fire-safety documentation, housekeeping practices, and building equipment that required correction.
    • 10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Must Have Current Sanitation and Fire Safety Reports
    • 10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Must Have Current Sanitation and Fire Safety Reports
    • 10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Must Have Current Sanitation and Fire Safety Reports
    • 10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Must Have Current Sanitation and Fire Safety Reports
    • 10A NCAC 13F .0302 DESIGN AND CONSTRUCTION( f)Must Have Current Sanitation and Fire Safety Reports
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    13 May 2015Construction
    Identified safety and maintenance deficiencies, including hazards and fire-rated barrier concerns from an inspection conducted in May.
    • Must Have Current San. & Fire Safety Reports
    • Housekeeping-Maintained Free of Hazards
    • Continued From page 3

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    Mirador Living is not affiliated with the owner or operator(s) of Hayesville House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hayesville House directly. There is no cost for this service. We are compensated by the community you select.

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